Provides early intervention services, at no cost, for families who have children from birth to age three, that have difficulty learning, growing, or behaving like other children in their age group or have a medical condition which doctors feel may need special attention. ​Available to any family in the 11-county area and offers a no-cost developmental screening/evaluation.

Provides audiology services to families and school districts at no cost.

Physicians and advanced practice providers specialize in audiology, dermatology, plastic surgery, and ear nose and throat.

Protect the health and safety of the consumer public by licensure of qualified persons, enforcement of the statutes, rules and regulations governing the practice of hearing aid dispensing and audiology, including the appropriate resolution of complaints.

The Avera Winner Medical Clinic is a member of the Avera McKennan Primary Care Network and Avera Health. Services include laboratory, x-ray, and Beltone hearing aid specialist on-site monthly.

Clinic provides primary care, mental health, home based primary care, and telehealth services. No emergency services are provided at the clinic. Specialty Services include: Audiology, Dermatology, Anticoagulation, and Home Based Primary Care Mental Health Services: individual, couples, and group psychotherapy Audiology Services: including hearing aid fittings, adjustments, and replacement, are provided on Tuesdays, Thursday afternoons and Friday afternoons at the CBOC. The following programs and specialty care are available by telehealth: Cardiology, Diabetes Management, Endocrinology, Gastroenterology, Genomic Medicine, Infectious Disease, Nephrology, Neurology, Nutrition, Oncology, Orthopedics, Pain Management, Physical Therapy, Prosthetics, Pulmonary, and VIST (low Vision).

COVID Testing Option: ​Oyate Health Center Urgent Care 3200 Canyon Lake Drive 7:00am - 7:00pm (MT), 7 days a week Closed on Independence Day, Thanksgiving Day, and Christmas Day. Oyate Health Center provides primary medical care, outpatient clinic, and urgent care. Additional outpatient services that are provided on site include optometry, pharmacy (Prescription Drug Take Back Site, blue drop-box in pharmacy), laboratory, radiology, dental, physical therapy, podiatry, and social services. Oyate Health Center has 2 sweat lodges that are by sign in only. Call for details. Oyate Health Center provides direct health services to Native Americans and also provide contract health care services and referrals to those that are eligible within IHS requirements. This means that if a patient is enrolled in a federally recognized tribe or can prove lineage of descent of an enrolled tribal member; the patient may receive direct care services at Oyate Health Center. Prescription Assistance - Any Native American enrolled in a federally recognized tribe can receive prescription expense assistance at any I.H.S. facility.

Spearfish Monument Medical Clinic is a primary care, family medicine clinic. Board certified physicians and physician assistants offer health care services sensitive to the individual needs of you and your family. Services include audiology, ear, nose, & throat, general surgery, obstetrics & gynecology (OB/GYN), pediatrics, radiology, concussion management, hearing aids, laboratory, medical imaging, and ultrasound.

Early Intervention Program that serves children from birth - 36 months with developmental delays or disabilities and their families. To schedule a developmental screen, contact the local service coordinator.

Provides support to families with children birth to 3 years with identifying needs and accessing community services. Services include: audiology, assistive technology, family training, counseling and home visits, health service, medical services for evaluation, nursing, nutrition, occupational therapy, physical therapy, psychological services, social work services, service coordination, special instruction, speech and language, transportation for services, vision, and other services identified by the team.

Offering occupational health advice, planning and support to employers and their employees.

Clinic provides primary care, mental health, home based primary care, and telehealth services. No emergency services are provided at the clinic. Specialty Services include: Audiology, Dermatology, Anticoagulation, and Home Based Primary Care Mental health Services: individual, couples, and group psychotherapy Telemental health available Audiology Services: including hearing aid fittings, adjustments, and replacement, are provided on Tuesdays, Thursday afternoons and Friday afternoons at the CBOC. The following programs and specialty care are available by telehealth: Cardiology, Diabetes Management, Endocrinology, Gastroenterology, Genomic Medicine, Infectious Disease, Nephrology, Neurology, Nutrition, Oncology, Orthopedics, Pain Management, Physical Therapy, Prosthetics, Pulmonary, and VIST (low Vision).

Providing a range of generalized and specialized services including a Sleep Center, Surgical Services, Pain Management, and Sports Medicine.

Specialty care include: Audiology, Home Based Primary Care, Lab, Mental Health, Pharmacy clinical services, Physical Therapy, Primary Care, Social Work, and Nutrition. The following programs and specialty care are available by telehealth: Cardiology, Occupational Therapy, Chronic Health Management, Oncology, Dermatology, Orthopedics, Diabetes Management, Pain Management, Endocrinology, Pharmacy Services, Gastroenterology, Prosthetics/Orthotics, Genomic Medicine, Psychiatry, Infectious Disease, Pulmonary, Mental Health, Surgery (pre-op), Nephrology, Low Vision, Neurology, Urology, and Wound Care.​

Provides audiology services to families and school districts at no cost.

Clinic provides primary care, mental health, and telehealth services. No emergency services are provided at the clinic. Specialty services include: Audiology, Dermatology, and Anticoagulation Mental Health services: individual, couples, and group psychotherapy Audiology services including hearing aid fittings, adjustments, and replacement, are provided on Tuesdays, Thursday afternoons and Friday afternoons at the CBOC. The following programs and specialty care are available by telehealth: Cardiology, Diabetes Management, Endocrinology, Gastroenterology, Genomic Medicine, Infectious Disease, mental health services, Nephrology, Neurology, Nutrition, Oncology, Orthopedics, Pain Management, Physical Therapy, Prosthetics, Pulmonary, and VIST (low Vision).

The VA Surgery / Specialty Care Service Line includes the following services: Orthopedics, ENT, Gynecology, Urology, general surgery, Opthalmology, Podiatry, Audiology, Optometry, Dental, GI Endoscopy, and Proctology.

Provides audiology services for individuals with hearing loss, tinnitus, and other sound sensitivity disorders. Provides hearing aid fits, Cochlear Implants, and tinnitus treatment options.

Pharmacy Services include Telehealth, Vaccinations, Vitamins and Supplements, Over-the-Counter Drugs, Free Hearing Tests, Pet Medications, and Prescription Pick Up/Refill Order. Also sells Home Medical Equipment such as transfer devices, walking aids, wheelchairs, incontinence care, diabetes care, and first aid products.

Providing local medical care, assessments, treatments and referrals.

Early Intervention Program that serves children from birth - 36 months with developmental delays or disabilities and their families. To schedule a developmental screen, contact the local service coordinator.

Early Childhood provides children with a learning environment and varied experiences to help them develop socially, emotionally, intellectually, and physically in a manner appropriate to their age and stage of development. Early Childhood provides pre-school activities for 3 and 4 year-old children while encouraging parent participation in all aspects of the program. Early Childhood Programs are offered at a variety of elementary schools in the district. Screenings provide an opportunity to find out more about your young child and his/her development, screenings include: Large muscle development Eye-hand coordination Communication Cognition Vision and hearing Height and weight During screening appointments, children stack small blocks, name colors, jump and hop, cut with scissors, look at pictures, answer questions, and have fun completing other activities. Children birth to 5 are eligible for screening. Infants/toddlers are screened in their homes. Parents will meet with a staff person to discuss options for their child in district early childhood programs.

Pharmacy Services include Telehealth, Vaccinations, Vitamins and Supplements, Over-the-Counter Drugs, Free Hearing Tests, Pet Medications, and Prescription Pick Up/Refill Order. Also sells Home Medical Equipment such as transfer devices, walking aids, wheelchairs, incontinence care, diabetes care, and first aid products.